Professional Documents
Culture Documents
Objectives
1) 2) 3) 4)
Identify the nursing role in occupational health Define the term: Occupational Health Nursing. Discuss prevention strategies in occupational health care.
5)
6)
Definition
It is the specialty practice that focuses on the promotion, prevention and restoration of health within the context of a safe and healthy
environment.
It provides for and delivers occupational and environmental health and safety services to workers, populations and community groups.
It
is an autonomous specialty, and nurses make independent nursing judgment in providing health care.
Occupational health
nurses work in traditional manufacturing, industry, service, health care facilities, construction sites, consulting, and government settings.
Case management
Counseling Health promotion/protection
Community orientation
The knowledge in occupational health and safety is applied to the workforce aggregate.
Work-related health problems must be investigated and control strategies implemented to reduce exposure.
Occupational Hazards
Industrial worker may be exposed to five types of hazards, depending upon his occupation:
1) Physical hazards 2) Chemical hazards 3) Biological hazards 4) Psychological hazards 5) Enviromechanical hazards
1- Physical hazards
Heat and cold: The common physical hazard in most industries is heat. The direct effects of heat exposure are:
Decreased efficiency
Chilblains
Erythrocyanosis
Immersion foot etc.
Chilblains
Light:
The workers may be exposed to the risk of poor illumination or excessive brightness. Example of acute effect is eye strain and headache.
The chronic effect include miners nystagmus, blurring of vision which lead to accidents, etc
Noise:
Vibration:
Such as drill and hammers. It affects the hands and arms and later the fine blood vessels of fingers.
Ultraviolet
Radiation:
(welders flash)
Ionizing Radiation: such as bone- marrow are more sensitive, there are
special hazards when gonads are exposed.
The radiation hazards comprise: genetic changes malformation cancer leukemia depilation ulceration sterility and in extreme cases death.
2) Chemical hazards
The chemical agents act in three ways:
1. 2. 3.
Local action,
Inhalation,
Ingestion.
3) Biological hazards
Workers may be exposed to infective and parasitic agents at the place. The occupational diseases in this category are brucellosis, anthrax, tetanus, encephalitis etc.
Persons working among animal products e.g. hair, wool, hides and agricultural workers are specially exposed to biological hazards.
4) Psychological hazards
The psychological hazards arise from the workers failure to adapt to an alien psychological environment e.g. Frustration, Some of the psychological factors which may undermine both physical and mental health of the workers. Lack of job satisfaction, Insecurity, Poor human relationships, Emotional tension
1) 2) 3) 4)
5) Enviromechanical hazards:
Factors encountered in work environments that cause accidents, injuries, strain or discomfort (e.g., poor equipment or lifting devices and slippery floors)
Pre-placement examination
Periodic examination
Medical and health care services Notification Supervision of working environment Maintenance and analysis of records Health education and counseling
Engineering Measures
1) Design of
8. Isolation 9. Local exhaust ventilation 10. Protective devices 11. Environmental monitoring 12. Statistical monitoring 13. Research
building
2) Good
housekeeping
3) General
ventilation
4) Mechanization
5) Substitution
6) Dusts 7) Enclosure
Legislation
Society
Legislation
Factory laws, therefore, have been framed in every country to govern the condition in industry and to safeguard the health and welfare of the worker.
In the area of primary prevention, the occupational health nurse is involved in both health promotion and disease prevention.
Lifestyle change can be facilitated through a combination of efforts to enhance awareness, change behavior and create environments that
Of the three, supportive environments will probably have the greatest impact in producing lasting changes.
The occupational health nurse has daily contact with numerous employees for many reasons (e.g., assessment and treatment of episodic illness or injury and health surveillance); therefore this is an important method of promoting health.
1.
weight
2.
3. 4. 5. 6.
Cholesterol reduction,
AIDS awareness, Ergonomics training and Smoking cessation. Recognizing potential and existing hazards and maintaining communications with safety and industrial hygiene resources will continue to be critical work for the occupational health nurse.
For
strategy.
As
Types of non-occupational programs included in the area of primary prevention are cardiovascular health, cancer awareness, personal safety, immunization, prenatal and postpartum health, accident prevention, retirement health, Stress management and relaxation technique.
management and work-home balance issues will achieve heightened significance as more women enter the workforce.
The
occupational health nurse can play a key role in the development and delivery or prenatal, postpartum and childhood programs in the workplace. primary importance will be the ability to serve as a change agent to initiate needed programs in the work environment.
Of
The
occupation health nurse will face challenges in developing programs that are culturally and linguistically appropriate. occupational health nurse may be in an advocacy role to negotiate with the employer for changes in the work environment to reduce or eliminate existing or potential occupational exposures to known and potential risk factors.
The
2) Secondary Prevention
Secondary prevention strategies are aimed at early diagnosis, early treatment interventions and attempts to limit disability. The focus at this level of prevention is on identification of health needs, health problems and employee at risk.
As with primary prevention, the occupational health nurse uses a number of different secondary prevention strategies.
By providing direct care for episodic illness and injury, the occupational health nurse is afforded the opportunity to conduct assessments and provide treatment and referrals for a variety of physical and psychological conditions.
The occupational health nurse can offer health screenings, which are designed for early detection of disease, at the work site with relative ease and at minimal cost. Screenings may focus on vision, cancer, cholesterol, hypertension, diabetes, TB and pulmonary function. Other types of screening may be contracted with a vendor who uses mobile equipment to provide screenings such as mammography.
The replacement evaluation is performed before the worker begins employment in a new company or is placed in a different job. The evaluation is a baseline examination that consists of: a medical history,
For example, if the employee is going to be lifting materials in a warehouse, special attention should be paid to any history of musculoskeletal problems.
Strength testing and range of motion should be performed for all muscle groups.
The examination may also include medical tests to determine specific organ functions that may be affected by exposure to existing agents in the employees workplace.
For example, if the employee is working with a chemical that is a known liver toxin, baseline liver function tests may be appropriate to determine the current health status of the liver and its ability to handle this specific chemical exposure.
interval (e.g., annual and biannual) and are based on specific protocols for those exposed to substance or irritant: - such as lead, - asbestos, - noise or - various chemicals.
jobs are critical to document any changes in health that may have occurred while the employee was working in a specific area with a specific process.
Activities must continue to focus on prevention and early detection of other health conditions such as breast cancer and providing accessible and affordable screening programs.
The occupational health nurse is in an excellent position to play a key role in reducing morbidity and mortality associated with breast cancer.
3) Tertiary Prevention
On a tertiary level, the occupational health nurses play a key role in the rehabilitation and restoration of the worker to an optimal level of functions.
Strategies include :
case management
negotiation of workplace accommodations, and
For workers needing special accommodations, the occupational health nurse can negotiate and facilitate
Counseling regarding adjustment to normal work life and support for behavior modification (e.g., smoking cessation) may also be provided.